Aortic Valve Repair

As one of the highest-volume surgical programs in the country, Nancy &
Bill Thompson Heart Valve Center’s
expert cardiac surgery team​ is well-versed in the full array of aortic valve surgical options.

Aortic valve repair is a surgical approach for treating aortic valve disease.
While there are many advantages to aortic valve repair,
aortic valve replacement​ is more often utilized.

Aortic valve disease often affects a combination of areas within the heart,
including the aortic valve, root, ascending aorta and arch. During aortic
valve repair surgery, the arteries that branch from these segments may
also require additional consideration. Taking into account your overall
health and the condition of your aortic valve, Hoag surgeons may utilize
a combination of procedures during valve repair, to provide the best possible outcome.

Aortic valve repair procedures include:

David Valve-Sparing Re-Implantation Procedure

Yacoub Remodeling Procedure​

David Valve-Sparing Aortic Root replacement

As its name indicates, this procedure is used for the replacement of the
aortic root and ascending aorta only. The aortic valve is not replaced.
However, it is re-implanted inside the Dacron tube graft, and both coronary
arteries are re-attached to the Dacron. This procedure is primarily suitable
for patients with trileaflet aortic valves with minimal aortic insufficiency.
It may also be used in Marfan syndrome patients if their aortic annulus
is not too dilated. Some patients with bicuspid aortic valve may also
undergo this operation, if the leaflets are normal.

Yacoub Remodeling Procedure

The Yacoub remodeling procedure uses a scalloped design to create a new
aortic root out of Dacron. This scalloped shape was thought to experience
less shear force and, therefore, might be expected to add more longevity
and competence to valve-sparing operations. While the long-term outcomes
of the original procedure have varied across centers, data regarding the
latest modification to this technique is still emerging and requires careful
analysis. This procedure is indicated for use in the same group of patients
as the David valve-sparing re-implantation procedure, but does not have
the same endurance as the David repair.

Hoag's Top Rated Valvular Heart Disease Program

Nancy & Bill Thompson Heart Valve Center is one of a handful of clinics nationwide dedicated to state-of-the-art
screening, diagnosis and treatment of valvular heart disease. Learn more
about Hoag’s top rated valvular heart disease program: